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Factor IX Complex Injection

Maine rates for HCPCS J7194 · Profilnine

Factor IX complex, per IU

Rates data updated July 2026.

How much does Profilnine (factor ix complex) cost?

$1.70per IU

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1.70 for each IU of this drug. The price depends on where it is billed: about $1.70 from a physician practice, and about $4.27 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per IU. Enter the amount given to see what insurers have agreed to pay for it.

IU
In a doctor's office or clinic
$1.70
At a hospital outpatient department
$4.27

The same drug, in the same amount, costs 151% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.70$1.29 to $1.78
FacilityA hospital or hospital-owned outpatient department$4.27$3.98 to $4.27

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $2 · 10th to 90th $1 to $2
$2$5facility $4professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.27
Typical High
$4.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.78
Typical High
$2.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.95
Typical High
$5.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.91
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.70
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$4.27
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.78
Typical High
$4.27
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.70
Typical High
$2.45

Where Maine sits

The same service costs 2.6 times more in Delaware than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 44th of 51

$1.70

DE $4.07NC $1.58

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.